| NPI | 1144595612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 1695) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69499) |
| Enumeration Date | 2012-03-17 |
| Last Update Date | 2018-03-17 |