| NPI | 1821537978 |
|---|---|
| Former Name | CLEA ROSE HOSKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001303) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000615) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2022-07-01 |