| NPI | 1285747816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 309003036) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 01050215NP) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2025-07-30 |