| NPI | 1215593462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 115426) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 9485) |
| 104100000X Social Worker (Licence: CA 96392) | |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2023-09-22 |