| NPI | 1285960484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1809) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 185040) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2026-03-10 |