NPI | 1124246780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178-001313) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 43404) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2007-07-08 |