| NPI | 1447611306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3091) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 2017-057) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2019-02-04 |