| NPI | 1083309041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4346) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 4346) |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2025-01-05 |