| NPI | 1700422433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 208.000766) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2022-11-01 |