| NPI | 1801323894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001379) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 166.001379) |
| 101YM0800X Counselor, Mental Health (Licence: IL 166.001379) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-01-03 |