| NPI | 1679883268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 432) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2091) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2022-11-29 |