| 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 | 2025-10-09 |