| NPI | 1699016113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP5850) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NY 015031) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2016-06-07 |