| NPI | 1952432130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5092) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc00257) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-01-15 |