NPI | 1710111273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000740) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150008210) |
Enumeration Date | 2009-05-12 |
Last Update Date | 2022-07-21 |