| NPI | 1881051084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA PLC8835) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 5253) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2024-06-28 |