NPI | 1114078565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1680) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
Enumeration Date | 2007-01-14 |
Last Update Date | 2009-06-03 |