| NPI | 1952722027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-M1309071534) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RW7265) | |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2023-11-27 |