| NPI | 1720279722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001157) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001267A) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-03-07 |