| NPI | 1134699820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 97658) |
| 104100000X Social Worker | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 00-85-020-0517) | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2023-10-17 |