| NPI | 1144209537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP2103) |
| 106H00000X Marriage & Family Therapist (Licence: TN 692) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2022-04-04 |