| NPI | 1992083158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A4005007) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA IACC 194) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CCJP 960109) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2016-03-15 |