| NPI | 1053979823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001576) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2024-06-04 |