NPI | 1013623404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001672) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 002308) |
Enumeration Date | 2023-01-30 |
Last Update Date | 2024-08-12 |