| NPI | 1598480253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4391) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 742228) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-11-28 |