| NPI | 1528190311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 111544) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 80147) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-11-09 |