| NPI | 1306811682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-004083) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-004083) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166-000116) | |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |