| NPI | 1982057220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW108276) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 1041C0700X Social Worker Clinical (Licence: CA 72778) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2022-07-08 |