| NPI | 1972664456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN LMFT 282) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN LICSW 5394) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |