NPI | 1346301181 |
---|---|
Other Name | REBA CONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS19814) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930492) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2024-06-19 |