| NPI | 1437422441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2191) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 00425) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2018-03-14 |