| NPI | 1164208757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1488201122) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-02-27 |