NPI | 1992811251 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000630) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180006319) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2014-11-18 |