| NPI | 1588149405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-12-19 |