| NPI | 1396580866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 19300) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-09-23 |