NPI | 1235406018 |
---|---|
Former Name | ANNIKA AINA BACKSTROM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L-10595) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LDD000924) |
Enumeration Date | 2011-11-22 |
Last Update Date | 2021-05-12 |