| NPI | 1962834549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 836-6-1-15-319) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1759) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2021-05-11 |