| NPI | 1952619702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 27788) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC 14083) |
| 1041C0700X Social Worker, Clinical (Licence: DC 50079113) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |