NPI | 1780348490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 12361) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2021-10-28 |
Last Update Date | 2024-05-06 |