| NPI | 1770356578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 546643) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-07-01 |