| NPI | 1275167991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1454760122) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2022-01-31 |