| NPI | 1427495985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3332) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304551) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 1074I) | |
| 106H00000X Marriage & Family Therapist (Licence: NV MI0307) | |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2019-02-11 |