| NPI | 1861764292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 92163) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2022-03-09 |