| NPI | 1467812743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001751) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 208000374) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2024-05-08 |