| NPI | 1962785865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009286) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006701) |
| 106H00000X Marriage & Family Therapist (Licence: IL 208.000168) | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2014-09-18 |