| NPI | 1720604648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001389) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000647) |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-06-20 |