| NPI | 1336208503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1812) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1812) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-10-08 |