| NPI | 1205046521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000542) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-008175) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2018-03-28 |