| NPI | 1518099019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 168843) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2023-10-06 |