NPI | 1386198950 |
---|---|
Former Name | SANDRA SCHOENEICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 166.001350) |
Enumeration Date | 2016-08-11 |
Last Update Date | 2022-11-30 |