NPI | 1114329604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 77248) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2014-09-16 |
Last Update Date | 2017-11-09 |