| NPI | 1518373539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90466) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-09-11 |