| NPI | 1710024187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180005468) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180005468) |
| 106H00000X Marriage & Family Therapist (Licence: IL 180005468) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-07-08 |