| NPI | 1386771863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000586) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180005863) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-12-22 |