| NPI | 1013272210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1825) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-06-25 |