NPI | 1033665062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001094) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000236) |
106H00000X Marriage & Family Therapist (Licence: CO MFT.0001754) | |
Enumeration Date | 2016-08-30 |
Last Update Date | 2021-01-15 |