| NPI | 1770181786 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW110711)  | 
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2020-10-12 | 
| Last Update Date | 2024-12-09 |