| NPI | 1275087108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 127743) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 106314) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C039280916) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2025-05-21 |