NPI | 1487365573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1439630721) |
Additional Taxonomies | 172V00000X Community Health Worker |
171M00000X Case Manager/Care Coordinator | |
174H00000X Health Educator | |
Enumeration Date | 2022-12-08 |
Last Update Date | 2024-04-18 |