| NPI | 1831539261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2566) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist (Licence: SD LMFT1230) | |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2022-01-13 |