NPI | 1992227367 |
---|---|
Former Name | BRENDA RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-07-07 |
Last Update Date | 2022-07-21 |