| NPI | 1851091003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4415) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101007514) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717002233) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2026-03-23 |