| NPI | 1982917498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166.001330) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2024-03-26 |