| NPI | 1063957876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.014815) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208000450) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2022-12-27 |