| NPI | 1174040976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001044) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1379) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |