NPI | 1154618544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001515) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 166.001515) |
Enumeration Date | 2011-07-06 |
Last Update Date | 2022-07-07 |