| NPI | 1427684752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 208.000750) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.015363) |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |