NPI | 1588858732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 28842) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
374700000X Technician | |
Enumeration Date | 2007-08-30 |
Last Update Date | 2022-06-06 |