| NPI | 1053648915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2014-045) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1461) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2023-01-17 |