| NPI | 1609456581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 100402) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2026-04-01 |