| NPI | 1730494345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN CC01734) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2018-03-29 |