| NPI | 1851842504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA H1004161504) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2022-04-14 |