| NPI | 1730360207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: MN LP5255) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1711) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2022-07-13 |