| NPI | 1932608072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 07908-S) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-12-20 |