NPI | 1255737557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
172V00000X Community Health Worker (Licence: CA 1255737557) | |
Enumeration Date | 2014-11-13 |
Last Update Date | 2025-05-14 |