| NPI | 1598936197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166-000921) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-006091) |
| 101YP2500X Counselor, Professional (Licence: NC 4882) | |
| 101YP2500X Counselor, Professional (Licence: WI 3552-125) | |
| Enumeration Date | 2008-03-22 |
| Last Update Date | 2013-08-09 |