| NPI | 1922151596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP2890) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP2890) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-09 |