| NPI | 1649880519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001572) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000815) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2022-08-16 |