NPI | 1932342383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001109) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT MFT000417) |
106H00000X Marriage & Family Therapist (Licence: GA MFT001041) | |
Enumeration Date | 2009-04-15 |
Last Update Date | 2018-04-06 |