| NPI | 1558540328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000604) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 1640011456) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2017-02-15 |