| NPI | 1306483276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 20317) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: CA 11425) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2025-08-21 |