| NPI | 1003170143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2494) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2024-05-30 |