| NPI | 1811418346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6498) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc01553) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2023-10-14 |