| NPI | 1902099781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000927) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC21485) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180.008976) | |
| 101YM0800X Counselor, Mental Health (Licence: KS LCPC300) | |
| 106H00000X Marriage & Family Therapist (Licence: AZ LMFT15847) | |
| 106H00000X Marriage & Family Therapist (Licence: KS LMFT1002) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2023-08-08 |