| NPI | 1194976407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN 5635) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1701) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2013-08-28 |