NPI | 1982990263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101047) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA 225400000X) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2011-06-24 |
Last Update Date | 2024-03-13 |