NPI | 1033314844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1020) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 1020) |
Enumeration Date | 2007-06-20 |
Last Update Date | 2020-12-23 |