| NPI | 1396198404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW101296) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW77216) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2022-07-21 |