| NPI | 1780707232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 666-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166011999) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2026-02-26 |