| NPI | 1730541731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA AO57140520) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA AO57140520) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-10-09 |