| NPI | 1043339740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MN LP 2816) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP 2816) |
| 103T00000X Psychologist (Licence: MN LP 2816) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP 2816) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |