| NPI | 1548077639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA 25-CCHW-00019) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1587741124) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2025-08-14 |