| NPI | 1932749371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001784) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT3750) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2026-04-27 |