NPI | 1215525654 |
---|---|
Former Name | OLIVIA HIDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 11429) |
Enumeration Date | 2020-12-31 |
Last Update Date | 2024-08-30 |