| NPI | 1144852468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121498) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 010789) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2024-03-14 |