| NPI | 1700013331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-002821) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166-000506) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2015-01-02 |