NPI | 1821260480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 73335) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA # NA201302) |
1041C0700X Social Worker, Clinical (Licence: CA ASW #23491) | |
Enumeration Date | 2008-03-24 |
Last Update Date | 2016-09-09 |