| NPI | 1851499289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP1210) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN LMFT647) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-10-25 |