| NPI | 1669916243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 105121) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 105121) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2024-09-06 |