| NPI | 1891009734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 2793) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA 1431) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2023-12-19 |