| NPI | 1861793085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 12069) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NE 1280) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2020-01-10 |