| NPI | 1295198513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001305) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000484) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2019-08-04 |