| NPI | 1831566066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 3583) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 459-228) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2018-07-24 |