| NPI | 1326454067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY CAPA0360) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2016-08-16 |