| NPI | 1154662328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 109284) |
| 172V00000X Community Health Worker (Licence: CA 109284) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2023-06-13 |