| NPI | 1083683387 |
|---|---|
| Former Name | SALLY DIANN MARCEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180003758) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000540) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-04-05 |