| NPI | 1417178880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114724) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA I2011406) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-04-12 |