| NPI | 1063621670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103315) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RW1055) |
| 101YM0800X Counselor, Mental Health (Licence: CA 109564) | |
| 104100000X Social Worker (Licence: CA 103315) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii11511215) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2025-06-17 |