| NPI | 1508970146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-003955) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VT 100-0000037) |
| 106H00000X Marriage & Family Therapist (Licence: CA 38269) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-02-11 |