| NPI | 1649420514 |
|---|---|
| Former Name | SUSAN MARIE WIMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP4934) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP4934) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2022-04-18 |