NPI | 1851494561 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 00221) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-003020) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2024-04-05 |