| NPI | 1073183539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 1439230721) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 1234) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-02-15 |