NPI | 1952933582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001664) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208000798) |
Enumeration Date | 2020-02-11 |
Last Update Date | 2023-12-04 |