| NPI | 1669715173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001087) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 321-228) |
| 101YM0800X Counselor, Mental Health (Licence: WI 16793-130) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2016-10-28 |