| NPI | 1609386697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 168861) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2023-08-03 |