| NPI | 1154831311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 121115) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: CA 92135) | |
| 104100000X Social Worker | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2024-06-07 |