| NPI | 1235903022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.019483) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 04436) |
| 106H00000X Marriage & Family Therapist (Licence: IL 208.001102) | |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |