| NPI | 1417408808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97966) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 78353) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-08-31 |