NPI | 1043344724 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001765) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 42368) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2021-05-10 |