| NPI | 1477160711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 116081) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 116081) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2026-06-15 |