| NPI | 1689826158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 12607) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN 3882) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2016-08-26 |