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 |