| NPI | 1780345785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115197) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: CA 115197) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2024-10-09 |