| NPI | 1730398264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.006123) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000645) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |