| NPI | 1861988461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 103526) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW83921) |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW83921) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2022-08-12 |