| NPI | 1184033631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW128105) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA l1312251220) |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW128105) | |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2025-02-11 |