| NPI | 1205151925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001142) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 52323) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2018-03-17 |