| NPI | 1417512765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3452) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 203395) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |