NPI | 1871895003 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI0397) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2010-11-19 |
Last Update Date | 2013-01-23 |