| NPI | 1942469267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1373) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MN 00132) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |