| NPI | 1770252157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14885-RAC) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2023-11-03 |