| NPI | 1225265747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 23896915) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 749) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |