| NPI | 1730544750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001333) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1261-124) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2020-02-10 |