| NPI | 1780006221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 81188) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 36711) |
| 101YM0800X Counselor Mental Health (Licence: CA ASW36711) | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2019-12-12 |