| NPI | 1548727498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 105584) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A051770218) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2024-06-11 |