NPI | 1194229237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW120549) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2018-03-22 |
Last Update Date | 2025-05-02 |