| NPI | 1215260872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 34344) |
| 1041C0700X Social Worker, Clinical (Licence: CT 397) | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2015-09-10 |