Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | LP2673 | MN |
NPI | 1093006215 |
---|---|
Provider Name | Ms. (albina) Louise Hiniker |
First Address | Saint Paul, MN 55116-1437 |
Second Address | Saint Paul, MN 55116-1437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2011 |
Last Update Date | 21/04/2011 |