| NPI | 1346497468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1669) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MN LBA0591) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2025-09-25 |