| NPI | 1023646148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW94630) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW246098) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2023-08-01 |