| NPI | 1588382170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 131219) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1529771023) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2025-06-29 |