| NPI | 1174801591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: FL SW13296) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA # 95-1647832) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2016-01-19 |