| NPI | 1427373414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001132) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5430) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0005430) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2022-12-07 |