| NPI | 1659871267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 109286) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: CA 109286) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-08-15 |