NPI | 1265565493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 29655) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2023-07-05 |