NPI | 1821325762 |
---|---|
Former Name | JEAN GARRITY ARNOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000774) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 166.000774) |
Enumeration Date | 2009-11-13 |
Last Update Date | 2015-08-21 |