| NPI | 1811169782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0012176) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IL 180005113) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166000513) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2014-10-22 |