| NPI | 1902001183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 117943) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 112351) |
| 101Y00000X Counselor | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 117943) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-08-23 |