| NPI | 1386093888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001236) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000478) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2019-01-25 |