| NPI | 1144080938 |
|---|---|
| Former Name | MARTHA REDDICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001891) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178019391) |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2025-06-27 |