| NPI | 1609242171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 77972) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-06-11 |