| NPI | 1154365831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180005774) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000327) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-03-17 |