| NPI | 1649517582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000598) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180005359) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |