| NPI | 1184216673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.0017141) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007561) |
| Enumeration Date | 2021-02-06 |
| Last Update Date | 2025-03-25 |