| NPI | 1902228232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: UT 9045497-6006) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 9045497-6006) |
| 1041C0700X Social Worker, Clinical (Licence: UT 9045497-3502) | |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2023-04-27 |