| NPI | 1487212148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 10863634-6018) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-09-25 |