| NPI | 1518261833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC2886) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP0227) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |