| NPI | 1801022447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP 5114) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LPC00334) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-08-24 |