| NPI | 1336499573 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW101041) | 
| Additional Taxonomies | 225C00000X Rehabilitation Counselor | 
| Enumeration Date | 2012-09-14 | 
| Last Update Date | 2022-03-08 |