| NPI | 1306927538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3769) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc00130) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-11-01 |