| NPI | 1609933498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1417) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 98) |
| 106H00000X Marriage & Family Therapist (Licence: MN 1417) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-05-13 |