| NPI | 1215046370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS7098) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 104459-CCBDC) |
| 1041C0700X Social Worker, Clinical (Licence: NY CSW0011532) | |
| 1041S0200X Social Worker, School (Licence: CA SC94604) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |