| NPI | 1790923035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 17263) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: MN 17263) |
| 1041C0700X Social Worker, Clinical (Licence: MN 17263) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 17263) | |
| 101YP2500X Counselor, Professional (Licence: MN 17263) | |
| Enumeration Date | 2009-01-24 |
| Last Update Date | 2010-04-09 |