| NPI | 1659960367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 178.017701) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: IL 208.000969) | |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2025-06-26 |