NPI | 1710171962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 58478) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 58478) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2008-12-04 |