| NPI | 1861747156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 100389) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW78902) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-10-17 |