| NPI | 1730130758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3194) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP3194) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-02-28 |