NPI | 1821301185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
Enumeration Date | 2010-07-15 |
Last Update Date | 2024-03-11 |