| NPI | 1366954489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 208000501) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001439) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2025-09-25 |