| NPI | 1700269925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3432) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1011-124) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2017-03-08 |