| NPI | 1740625490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001150) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000290) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-11-02 |