| NPI | 1801533989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: IL 13872) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 13872) |
| Enumeration Date | 2022-05-19 |
| Last Update Date | 2025-05-09 |