| NPI | 1245446376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 000313) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166-000260) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |