| NPI | 1700209780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 95800) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 67996) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2021-04-22 |