| NPI | 1679618821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 0873) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2025-09-07 |