| NPI | 1982332862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 139659) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YM0800X Counselor, Mental Health (Licence: CA 139659) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 373H00000X Day Training/Habilitation Specialist | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2026-07-16 |