NPI | 1700209780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95800) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 67996) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2014-01-28 |
Last Update Date | 2021-04-22 |