| NPI | 1013623404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001672) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 002308) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-08-12 |