| NPI | 1760710016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2010-036) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1854) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2019-08-06 |