| NPI | 1568455186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCS#15933) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15933) |
| 101YM0800X Counselor, Mental Health (Licence: CA 15933) | |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2011-12-29 |