| NPI | 1326266875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180006138) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YP2500X Counselor, Professional (Licence: IL 180006138) | |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2018-08-29 |