| NPI | 1467902304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3271) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1120) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2024-05-16 |