| NPI | 1194966887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 78666) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW61465) |
| 225400000X Rehabilitation Practitioner (Licence: CA 020616) | |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2022-11-02 |