| NPI | 1861160285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 108522) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 108522) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2023-07-20 |