| NPI | 1073148177 |
|---|---|
| Former Name | PAIGE SUSAN JOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA A019260615) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A019260615) |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2023-08-31 |