| NPI | 1932434354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000853) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.005684) |
| Enumeration Date | 2009-10-04 |
| Last Update Date | 2013-08-01 |