| NPI | 1093974735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW76700) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 34712) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2017-12-18 |