| NPI | 1639742778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 124640) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 12122) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii052591224) | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2025-07-26 |