| NPI | 1750726477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW91577) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA LCI10780218) |
| 101YM0800X Counselor Mental Health (Licence: CA ASW72865) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-12-06 |