| NPI | 1679139380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 107782) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89296) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2022-05-03 |