| NPI | 1265898548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166012080) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF61137023) |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2026-10-16 |