| NPI | 1497824486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN LPC00151) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP3466) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |