| NPI | 1568858470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2962) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 2962) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-06-02 |