| NPI | 1295955227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1128) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP5015) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2014-08-04 |