| NPI | 1396878492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000709) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007084) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2021-09-14 |