| NPI | 1548226251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 5864) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1494) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2024-01-23 |