| NPI | 1881725547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 164X00000X Licensed Vocational Nurse (Licence: CA vn 181008) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2015-12-23 |