| NPI | 1912597634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16368-132) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 7214-125) |
| 171M00000X Case Manager/Care Coordinator (Licence: WI 16368-132) | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-02-10 |