| 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 |