| NPI | 1396071486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MN 433587) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2010-02-18 |