| NPI | 1689765232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP 2823) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 7148) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2010-11-24 |