| NPI | 1952178113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 4929) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NH 1017) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2026-06-01 |