| NPI | 1831561679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA A03720315) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2024-04-15 |