| NPI | 1841701414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 93709) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001254) |
| 1041C0700X Social Worker, Clinical (Licence: CT 10132) | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2020-04-15 |