| NPI | 1376818625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2915) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1175-124) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2024-01-23 |