NPI | 1073944070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV IC-1679) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2013-12-02 |
Last Update Date | 2021-02-02 |