NPI | 1578662334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 32038) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 366000180) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-08 |