| NPI | 1598991580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.005553) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-12-06 |