NPI | 1215260872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 34344) |
1041C0700X Social Worker, Clinical (Licence: CT 397) | |
Enumeration Date | 2009-09-15 |
Last Update Date | 2015-09-10 |