| NPI | 1730615808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001485) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000578) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2022-03-22 |