| NPI | 1124784582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2262) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.013309) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.001470) | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |