NPI | 1689962896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW87352) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 63361) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2011-07-21 |
Last Update Date | 2023-09-26 |