NPI | 1770916322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2693) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MN 1-15-20652) |
Enumeration Date | 2013-08-19 |
Last Update Date | 2017-03-06 |