| NPI | 1255475612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000704) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 11085) |
| 106H00000X Marriage & Family Therapist (Licence: TX 2244) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2008-03-31 |