| NPI | 1114609039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1409711120) |
| 104100000X Social Worker | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-09-16 |