| NPI | 1992467062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0002368) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2023-12-13 |