| NPI | 1437128766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180002992) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000374) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-08-18 |