| NPI | 1346340247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3903) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 6212) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2009-03-31 |