| NPI | 1235316761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW28665) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2015-12-18 |