NPI | 1619295250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000896) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000919) |
Enumeration Date | 2010-05-06 |
Last Update Date | 2016-01-08 |