| NPI | 1417484528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95650) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2020-10-29 |