| NPI | 1023428885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2022006794) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180010965) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166001104) | |
| 106H00000X Marriage & Family Therapist (Licence: MO 2022002915) | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2023-08-18 |