| NPI | 1063621670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 109564) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 109564) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii11511215) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RW1055) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-11-30 |