| NPI | 1821683012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A055111223) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2025-12-29 |