| NPI | 1902258403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103947) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW78274) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2021-09-20 |