| NPI | 1790209153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A061680922) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2023-10-07 |