NPI | 1558944702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1417-124) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001613) |
Enumeration Date | 2021-05-04 |
Last Update Date | 2024-02-24 |