| NPI | 1962957894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.001110) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000463) |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2020-07-29 |