| NPI | 1366513012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS 29762) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA ASW20095) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2013-10-04 |