| NPI | 1174985774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4022) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF60904181) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-02-15 |