NPI | 1023513181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001286) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000587) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2024-01-08 |