| NPI | 1790804409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2009-023) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1074) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-02-25 |