| NPI | 1467664359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: MN 3280) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 870) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |