NPI | 1568017341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91621) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2019-08-07 |
Last Update Date | 2019-09-19 |