| NPI | 1295126068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-110685-1) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |