| NPI | 1588011001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA A051290819) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1231900616) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A051290819) | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-02-20 |