| NPI | 1124604475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 122389) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: Aii051850424) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-05-21 |