| NPI | 1659960367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 208.000969) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178.017701) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-01-16 |
| Last Update Date | 2022-01-08 |