| NPI | 1922881531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA LAC5172) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA PLPC9819) |
| 171M00000X Case Manager/Care Coordinator (Licence: LA PLC9819) | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2024-11-20 |