| NPI | 1255881850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA SUDRC24795) |
| Additional Taxonomies | 104100000X Social Worker |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2026-07-27 |