| NPI | 1093364465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110152) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1359900819) |
| 104100000X Social Worker (Licence: CA ASW82933) | |
| 1041S0200X Social Worker, School (Licence: CA 110152) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2023-03-10 |