| NPI | 1679713002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA A019590715) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 03-088838) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2023-07-18 |