NPI | 1407401847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001536) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208000733) |
Enumeration Date | 2019-08-02 |
Last Update Date | 2022-10-05 |