NPI | 1346375706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 0777) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 07914) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2025-09-11 |