NPI | 1689006793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112959) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 225400000) |
Enumeration Date | 2013-07-31 |
Last Update Date | 2023-05-02 |