NPI | 1295198513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001305) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000484) |
Enumeration Date | 2016-04-04 |
Last Update Date | 2019-08-04 |