NPI | 1619162351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001186) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2251) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2021-01-27 |