| NPI | 1750552196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN LMFT#1771) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1771) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2015-05-21 |