NPI | 1982911129 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001221) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34319) |
106H00000X Marriage & Family Therapist (Licence: WA LF61079154) | |
Enumeration Date | 2010-09-09 |
Last Update Date | 2024-07-29 |