| NPI | 1003212754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 3972-R) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2017-01-24 |