| NPI | 1225338924 |
|---|---|
| Former Name | CORIE GAYLE RODEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001282) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000574) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2023-08-03 |