| NPI | 1801463104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 178016782) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 178016782) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2024-02-01 |