| NPI | 1558322263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3005125) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP3137) |
| 104100000X Social Worker (Licence: MN 12337) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |