| NPI | 1538643366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 100409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ACSW85929) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2021-06-09 |