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 |