| NPI | 1750998043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001699) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007407) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2025-05-21 |