| NPI | 1093359457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP6733) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 2866) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2021-12-22 |