NPI | 1306223607 |
---|---|
Former Name | ADRIEL K ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 99512) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2015-05-06 |
Last Update Date | 2021-05-17 |