| NPI | 1184083214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW124233) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1303060840 II) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2024-08-26 |