| NPI | 1407180425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1808) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 00800) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2021-10-08 |