| NPI | 1033587902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2013-043) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2311) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |