| NPI | 1396410668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1439500721) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2023-04-21 |