| NPI | 1760677942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 964) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 0964) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2018-05-02 |