| NPI | 1023476850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 108156) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C033020315) |
| 1041C0700X Social Worker, Clinical (Licence: CA 108156) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2023-06-14 |