NPI | 1366514242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP2440) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN LP2440) |
Enumeration Date | 2006-11-15 |
Last Update Date | 2012-02-14 |