NPI | 1780196089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A061250422) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
172V00000X Community Health Worker (Licence: CA A061250422) | |
Enumeration Date | 2017-10-27 |
Last Update Date | 2024-07-30 |