NPI | 1225529001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001359) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF001011) |
Enumeration Date | 2018-05-28 |
Last Update Date | 2020-04-10 |