| NPI | 1659992766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CA 101Y00000X) | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2022-03-03 |