| NPI | 1962705459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2009-013) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1795) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |