| NPI | 1225500671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001261) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2019-02-11 |