| NPI | 1639618127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001156) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98172) |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2022-07-21 |