| NPI | 1619162351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001186) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2251) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2021-01-27 |