| NPI | 1124505136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW120014) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1265640917) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci30270720) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2024-01-11 |