NPI | 1689070112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001071) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208000336) |
Enumeration Date | 2014-11-11 |
Last Update Date | 2016-07-21 |