| NPI | 1851969141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA r13697811119) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-12-05 |