| NPI | 1376319988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 20698) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-05-08 |