NPI | 1588023063 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA c057420618) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2016-02-12 |
Last Update Date | 2024-05-08 |