NPI | 1760160998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14874-RAC) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2023-07-07 |
Last Update Date | 2024-03-13 |