| NPI | 1740575596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP2033) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP2033) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP2033) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |