| NPI | 1992259873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001301) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 208.000533) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2026-06-29 |