| NPI | 1871949537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17902-130) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16398-131) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2020-08-07 |