| NPI | 1689306334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW138463) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW116801) |
| 225400000X Rehabilitation Practitioner | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2026-05-25 |