| NPI | 1033285184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP0275) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 00084) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2017-04-11 |