| NPI | 1851609382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2641) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2022-11-08 |