NPI | 1114709904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA ASW126533) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2023-10-17 |
Last Update Date | 2024-10-10 |