| NPI | 1023302569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW113299) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LCi1281018) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2023-02-21 |