| NPI | 1871012641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW102087) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 225400000X Rehabilitation Practitioner | |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW83295) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2024-01-31 |