| NPI | 1912669144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 208001085) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: IL 178019097) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-09-11 |