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 |