| NPI | 1962192823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA R1506460523) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1506460523) | |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-02-14 |