NPI | 1689936312 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000785) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA mfc40231) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2012-06-08 |