NPI | 1558428797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0719) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000090) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2010-03-10 |