NPI | 1679713002 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 372600000X Adult Companion (Licence: CA 37260000X) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 03-088838) |
172V00000X Community Health Worker (Licence: CA A019590715) | |
Enumeration Date | 2009-02-25 |
Last Update Date | 2025-05-08 |