NPI | 1629310511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 59207) |
Enumeration Date | 2013-03-19 |
Last Update Date | 2013-05-22 |