| NPI | 1114161536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1830) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 826-124) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2011-06-08 |