| NPI | 1235516378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: NV 5507) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 06681-C) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2024-06-23 |