| NPI | 1356865893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-01312231533) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |