| NPI | 1063950764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2579) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1162-124) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2024-09-19 |