| NPI | 1700444270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102732) |
| 104100000X Social Worker (Licence: CA 102732) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2024-08-30 |