| NPI | 1497755409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN LMFT1023) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1023) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2018-12-06 |