| NPI | 1033645908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3561) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 587-228) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-09-23 |