| NPI | 1588840615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166-000517) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-003418) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2009-01-29 |