| NPI | 1114383031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA E0506301658) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2023-07-06 |