| NPI | 1598194201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2413) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IA 000427) |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2017-02-27 |