| NPI | 1891245759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1838) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174400000X Specialist (Licence: MN 00000) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2020-09-09 |