| NPI | 1568990927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3703) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 2017-039-A) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2020-11-03 |