| NPI | 1891573655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1960) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 6402) |
| 171M00000X Case Manager/Care Coordinator | |
| 174400000X Specialist | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-09-03 |