| NPI | 1184755753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 02-100000) |
| 101YM0800X Counselor, Mental Health (Licence: CA PSB94026395) | |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2024-03-15 |