| NPI | 1760670350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA N37-048-4108) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA N37-048-4108) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 28400) | |
| 103TF0200X Psychologist Forensic (Licence: CA 28400) | |
| 172V00000X Community Health Worker (Licence: CA 025255) | |
| 174H00000X Health Educator (Licence: CA 025255) | |
| 251B00000X Case Management | |
| 261QH0100X Clinic/Center Health Service (Licence: CA 025255) | |
| 261QR1100X Clinic/Center Research (Licence: CA 025255) | |
| 261QR1300X Clinic/Center Rural Health (Licence: CA 025255) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: CA N37-048-4108) | |
| 405300000X Prevention Professional (Licence: CA N37-48-4108) | |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2024-01-06 |