NPI | 1356691935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94021317) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2012-09-11 |
Last Update Date | 2018-01-30 |