| NPI | 1730425596 |
|---|---|
| Former Name | ROSE RICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A044390517) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA A044390517) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2025-11-10 |