| NPI | 1902686348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 2315581) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 2315581) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2024-04-23 |