NPI | 1215245832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006550) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000883) |
Enumeration Date | 2010-09-16 |
Last Update Date | 2018-06-08 |