| NPI | 1255488375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1420) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 00142) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2009-11-05 |