| NPI | 1205425782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 21581) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 21581) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker (Licence: CA 21581) | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2026-05-01 |