| NPI | 1215127055 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 65729)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-07-27 | 
| Last Update Date | 2016-12-14 |