| NPI | 1477852341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000821) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006148) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2020-04-09 |