| NPI | 1427719079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111608) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 111608) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2025-09-30 |