NPI | 1134892060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001484) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2021-07-27 |
Last Update Date | 2024-06-18 |