NPI | 1356811004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 118065) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1328461118) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA B00002140821) | |
Enumeration Date | 2018-11-26 |
Last Update Date | 2023-10-02 |