| NPI | 1003866922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 1868) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MN LP1868) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-01-14 |