| NPI | 1386927325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000844) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1521) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2015-05-27 |