| NPI | 1992811251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000630) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180006319) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2014-11-18 |