| NPI | 1972240794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 13307) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2024-03-21 |