| NPI | 1104881275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166-000660) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004009) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-06-23 |