| NPI | 1841763471 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001258) | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: DC LMFT200001275) | 
| Enumeration Date | 2019-01-07 | 
| Last Update Date | 2023-10-12 |