| NPI | 1811035926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 01-07-50) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2025-09-11 |