| NPI | 1013075050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW101204) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW70657) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-01-22 |