| NPI | 1003291238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11070) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW72938) |
| 1041C0700X Social Worker, Clinical (Licence: CA 87154) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2020-01-02 |