| NPI | 1407212806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3416) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN Z096253359215) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2021-01-28 |