NPI | 1861524712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114039) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 114039) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2024-03-21 |