NPI | 1821129891 |
---|---|
Former Name | NICOLE L GARDNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: CA 33736) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2007-03-08 |
Last Update Date | 2013-05-14 |