| NPI | 1265577746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ND 464-8-15-01-29) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN 0777) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |