| NPI | 1912142712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2773) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MA MFT10000007) |
| 106H00000X Marriage & Family Therapist (Licence: RI MFT00221) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 002263) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2024-12-12 |