NPI | 1306286679 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI0754) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2013-07-01 |
Last Update Date | 2016-12-05 |