| NPI | 1891276028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 225500000X Specialist/Technologist | |
| Enumeration Date | 2018-08-25 |
| Last Update Date | 2018-08-25 |