| NPI | 1891961314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000760) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 806-124) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2012-05-04 |