NPI | 1386775351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 45897) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA IMF47632) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2008-12-10 |