NPI | 1932365939 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 24186) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 24186) |
Enumeration Date | 2008-07-30 |
Last Update Date | 2012-08-14 |