| NPI | 1497092993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 85139) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: 3176-I) |
| 1041C0700X Social Worker Clinical (Licence: CA 69361) | |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2023-06-01 |