| NPI | 1316779796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP7098) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN LP7098) |
| 103T00000X Psychologist | |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-02-03 |