| NPI | 1134210446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 65448) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2019-10-24 |