| NPI | 1699328997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.013684) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 132493) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166.001742) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2026-06-18 |