NPI | 1770871998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 68665) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2011-07-21 |
Last Update Date | 2016-04-08 |