| NPI | 1609123132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2220) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 19841-875) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2026-02-09 |