| NPI | 1760692859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 112937) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A5360111) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW80609) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-03-28 |