| NPI | 1295036119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3522) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166000641) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2017-12-05 |