| NPI | 1194315762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000706) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149008868) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-07-15 |