NPI | 1104313964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii052140524) |
Additional Taxonomies | 101Y00000X Counselor |
172V00000X Community Health Worker | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2024-05-17 |