| NPI | 1093213407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 2110228) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 2110228) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2023-06-20 |