| NPI | 1962800748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 072261) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.000788) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |