NPI | 1396080644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI0629) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2012-11-27 |
Last Update Date | 2016-02-17 |