| NPI | 1568881100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R2801014) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-08-20 |