| NPI | 1659746063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006399) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: IL 180006399) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 180006399) | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2019-05-22 |