| NPI | 1407932080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN LMFT1184) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-09 |