| NPI | 1184918260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA RIS1410061011) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RIS1410061011) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2019-01-30 |