| NPI | 1578915997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW99074) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW79212) |
| 225400000X Rehabilitation Practitioner (Licence: CA 1578915997) | |
| Enumeration Date | 2016-07-09 |
| Last Update Date | 2024-01-14 |