NPI | 1780290478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.017177) |
Enumeration Date | 2020-09-18 |
Last Update Date | 2020-09-18 |