| NPI | 1750622080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3682) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1037-124) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2018-06-19 |