NPI | 1063957876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.014815) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208000450) |
Enumeration Date | 2017-01-03 |
Last Update Date | 2022-12-27 |