NPI | 1134251119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA IMF 40217) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA IMF 40217) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-08 |