| NPI | 1285690115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP1872) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 06386) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2009-03-11 |