| NPI | 1619295250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000896) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000919) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2016-01-08 |