| NPI | 1659866358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001325) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000546) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2019-10-17 |