| NPI | 1780165076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114652) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90204) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2023-08-31 |