| NPI | 1275040578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW123487) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1452791221) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2024-06-28 |