| NPI | 1982822276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ND 2009-024) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1268) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2016-03-14 |