NPI | 1124265061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW90215) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW90215) |
225400000X Rehabilitation Practitioner | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-01-14 |
Last Update Date | 2024-06-27 |