| NPI | 1952889495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 131646) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA R8521) |
| 104100000X Social Worker | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2026-08-28 |