| NPI | 1386051654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 86729) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW67254) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-02-05 |