| NPI | 1366441685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MN LP4396) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: MN 4396) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2023-07-06 |