| NPI | 1902062110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 9580-C) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health (Licence: CA 28622) | |
| 101YM0800X Counselor Mental Health (Licence: CA 71344) | |
| 1041C0700X Social Worker Clinical (Licence: CA 103049) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2023-04-07 |