| NPI | 1538496740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN 5169) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: 00446) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |