| NPI | 1740654888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3192) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MN 3192) |
| Enumeration Date | 2015-11-29 |
| Last Update Date | 2020-10-29 |