| NPI | 1871821801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000881) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000160) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2012-10-16 |