| NPI | 1174801153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 086216) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 081609) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2022-08-04 |