| NPI | 1376949925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001103) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000339) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2021-09-11 |