NPI | 1467188425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001766) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002671) |
Enumeration Date | 2022-08-01 |
Last Update Date | 2024-10-08 |