| NPI | 1720731482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4105) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 4105) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-08-30 |