| NPI | 1942638937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 92898) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1041C0700X Social Worker, Clinical (Licence: CA 77181) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2019-11-13 |