| NPI | 1497107304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001336) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33007786A) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2021-07-05 |