| NPI | 1225551971 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW111088)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW111088)  | 
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-07-24 | 
| Last Update Date | 2023-06-16 |