| NPI | 1023170958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP5261) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 00399) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2010-12-12 |