| NPI | 1023631694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.015398) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208000752) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |