| NPI | 1336579382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC9241) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA SUDCC8061) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RI-N1309261321) | |
| 101YP2500X Counselor, Professional (Licence: CA 9241) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 9241) | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2023-01-24 |