| NPI | 1124220876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 82971) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LS05010119) | |
| 104100000X Social Worker | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-03-01 |