| NPI | 1093364234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 91586) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 91586) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2023-06-22 |