| NPI | 1578871760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 72688) |
| 1041C0700X Social Worker, Clinical (Licence: FL 15672) | |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2021-09-01 |