NPI | 1902573983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MD LCM1029) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166001704) |
Enumeration Date | 2021-08-26 |
Last Update Date | 2025-02-04 |