| NPI | 1437580842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 083309) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2397) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2021-07-30 |