NPI | 1184093825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77426) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2015-09-23 |
Last Update Date | 2017-06-29 |