| NPI | 1093849465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN 3857) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: AAPC Fellow #4044) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MN 3857) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2015-02-26 |