NPI | 1174076913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW69250) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA W1206131518) |
Enumeration Date | 2016-07-28 |
Last Update Date | 2022-01-03 |