| 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 |