NPI | 1912342130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 113807) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
164X00000X Licensed Vocational Nurse (Licence: CA PT35706) | |
Enumeration Date | 2013-05-01 |
Last Update Date | 2023-10-30 |