| NPI | 1255973657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 9970) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 9970) |
| 172V00000X Community Health Worker (Licence: CA 6949) | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2023-05-15 |