| NPI | 1518118009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP0901) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MN LICSW4269) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |