| NPI | 1023536455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001235) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 208000514) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166001235) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2020-08-13 |