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 | 2024-10-11 |