| NPI | 1982911129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001221) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34319) |
| 106H00000X Marriage & Family Therapist (Licence: WA LF61079154) | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2024-07-29 |