| 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 |