| NPI | 1841724887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 208.000508) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012191) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |