| NPI | 1063541134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA RA015340315) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA861110) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 991810) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RA015340315) | |
| 101YP2500X Counselor, Professional (Licence: OH E4130) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2023-03-17 |