| NPI | 1467908889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 88755) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0007954) |
| 101YM0800X Counselor, Mental Health (Licence: CO NLC.0105727) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2019-05-06 |