| NPI | 1356845804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3133) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-08-09 |