| NPI | 1740512060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 79997) |
| 1041C0700X Social Worker, Clinical (Licence: CA 79997) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2022-12-16 |