| NPI | 1902524762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 40066) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-07-18 |