| NPI | 1972898104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA N0702281544) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2023-11-06 |