NPI | 1235256108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001051) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45653) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2016-03-24 |