| NPI | 1295975225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN LMFT2183) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 106H00000X Marriage & Family Therapist (Licence: MN 2183) | |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2012-05-15 |