| NPI | 1073968699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1222850216) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2024-09-16 |