NPI | 1275668477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001466) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC38071) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2021-11-10 |