| NPI | 1699867689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP3540) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: MN LP3540) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-04-24 |