| NPI | 1417323668 |
|---|---|
| Former Name | LINDA M MANTERNACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001076) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208-000380) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2020-11-06 |