| NPI | 1255769329 |
|---|---|
| Former Name | MOLLY SENA RADKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10253) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc04749) |
| 106H00000X Marriage & Family Therapist (Licence: MA 10000350) | |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2025-10-24 |