| NPI | 1326526286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001375) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 208.000583) |
| 101YP2500X Counselor, Professional (Licence: IL 166.001375) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2025-01-25 |