| NPI | 1962017509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 14514-RAC) | |
| 101Y00000X Counselor (Licence: WA CG61105085) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-12-20 |