| NPI | 1689152555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 101035) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA LCI04900518) |
| 104100000X Social Worker (Licence: CA ASW81468) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2021-04-19 |