| NPI | 1336499219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180009582) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 178.008389) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2016-12-13 |