| NPI | 1861246159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 208.001094) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 135677) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |