| NPI | 1407989072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000734) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 44428) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-01-12 |