| NPI | 1942986344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1510160623) |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2025-01-06 |