| NPI | 1043492754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001599) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 201429) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2023-05-08 |