| NPI | 1841962792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 1530-2-15-26A) |
| Additional Taxonomies | 174400000X Specialist |
| 171M00000X Case Manager/Care Coordinator | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1929) | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2026-03-10 |