| NPI | 1669832275 |
|---|---|
| Former Name | SHAUNA ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3486) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ND 2016-053) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2021-06-22 |