| NPI | 1588858732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 28842) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 374700000X Technician | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2022-06-06 |