| NPI | 1295288827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP6296) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc01280) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2018-09-11 |