| 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 |