| NPI | 1962925768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 110677) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 110677) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2023-06-23 |