| NPI | 1457588733 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 15497) | 
| Additional Taxonomies | 225400000X Rehabilitation Practitioner | 
| Enumeration Date | 2009-06-15 | 
| Last Update Date | 2022-10-21 |