NPI | 1699207936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C5371214) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2017-03-28 |
Last Update Date | 2023-06-28 |