| NPI | 1710111273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000740) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150008210) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2022-07-21 |