| NPI | 1346536208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A064060324) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2025-08-21 |