| NPI | 1134306467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-002386) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166-000445) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |