| NPI | 1134404312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1933) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 42668) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2020-12-18 |