| NPI | 1326357963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 6196) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 15865) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2018-03-17 |