NPI | 1669723045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75499) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2012-09-26 |
Last Update Date | 2020-09-16 |