| NPI | 1194332908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW123057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW102213) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2024-06-14 |