| NPI | 1356711493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 102839) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW102839) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2023-09-06 |