NPI | 1609355031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002325A) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 208000599) |
106H00000X Marriage & Family Therapist (Licence: IL 166001358) | |
Enumeration Date | 2018-08-07 |
Last Update Date | 2024-02-21 |