NPI | 1023153814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA IMF 43076) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 43076) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2008-08-07 |