| NPI | 1417532854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1418850221) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2022-03-10 |