| NPI | 1568015782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP7012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc02164) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2024-02-08 |