| NPI | 1679687990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180001004) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000555) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-05-09 |