| NPI | 1538584693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 74612) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health (Licence: CA 74612) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2022-07-14 |