| NPI | 1174839724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2010-33) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2041) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2020-02-17 |