| NPI | 1922599190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA A041780816) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA A041780816) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-02-14 |