| NPI | 1982730479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 93347) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-06-08 |