| NPI | 1477756955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 20473) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCSW 20473) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 0450315) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2019-11-08 |