NPI | 1073193181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001860) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT4193) |
Enumeration Date | 2021-04-12 |
Last Update Date | 2025-02-14 |