| NPI | 1992920755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 1710759) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-08-27 |