| NPI | 1366831588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166-000-152) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-000-574) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |