| NPI | 1780800896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA CAS CERTIFIED) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-10-30 |