| NPI | 1639244569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 4683) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN 00239) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |