NPI | 1740067446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 15259) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 15259) |
Enumeration Date | 2023-09-14 |
Last Update Date | 2025-04-16 |