| NPI | 1639678311 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW116675)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1919831)  | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: r1287460118)  | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-02-07 | 
| Last Update Date | 2025-05-19 |