| NPI | 1689006793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112959) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 225400000) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2023-05-02 |