| NPI | 1205257227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001029) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001029) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2021-01-01 |