| NPI | 1760079396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6790) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc00630) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-12-27 |