| NPI | 1932474350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP5359) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |