| NPI | 1922192038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 796) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 101719135) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-04-24 |