NPI | 1982914263 |
---|---|
Other Name | SASAH IRENE TILLMAN RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000804) |
Enumeration Date | 2010-10-20 |
Last Update Date | 2010-10-20 |