| NPI | 1083010862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 122707) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 5281) |
| 104100000X Social Worker (Licence: CA 122707) | |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2025-07-10 |