NPI | 1033406103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17477) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 7839-C) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2011-07-08 |
Last Update Date | 2021-01-06 |