| NPI | 1114161148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1690) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1335) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2025-03-17 |