| NPI | 1346848066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 121884) |
| 1041C0700X Social Worker, Clinical (Licence: NV 10866-C) | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2025-06-02 |