| NPI | 1750707592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14311) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4756) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA PCCI2547) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 2547) | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2023-12-02 |