| NPI | 1003195082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2534) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2659) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2019-06-10 |