| NPI | 1285775817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS12744) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2021-03-17 |