NPI | 1558458307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LCS 21585) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS 21585) |
1041C0700X Social Worker, Clinical (Licence: CA LCS 21585) | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |