| NPI | 1174815864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2799) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 2171-124) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2024-03-20 |