| NPI | 1548601370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2585) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2585) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2018-11-09 |