| NPI | 1255834966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 12375-R) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-11-14 |