| NPI | 1457485914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YP2500X Counselor, Professional (Licence: CA 19314) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2025-11-14 |