NPI | 1932406485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RS5873) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2011-02-18 |
Last Update Date | 2024-10-04 |