| NPI | 1841958063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA B00002820223) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA B00002820223) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1337650219) | |
| Enumeration Date | 2021-12-05 |
| Last Update Date | 2023-10-11 |