| NPI | 1326497835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88127) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 32232) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW 72062) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2019-11-18 |