| NPI | 1043693997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 110578) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 6809-R) |
| 101YM0800X Counselor, Mental Health (Licence: CA 74626) | |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW74626) | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2022-10-17 |