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 |