| NPI | 1316000797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN 3047) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 6542) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-09 |