| NPI | 1447349147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP3492) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |