| NPI | 1699897694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1398) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN CC00040) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-05-30 |