| NPI | 1215245832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MI 4101006550) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000883) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2018-06-08 |