NPI | 1083746085 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YS0200X Counselor, School (Licence: MN 278518) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 06707) |
106H00000X Marriage & Family Therapist (Licence: MN 590) | |
Enumeration Date | 2007-03-12 |
Last Update Date | 2007-07-08 |