| NPI | 1235256108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001051) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 45653) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2016-03-24 |