NPI | 1053095638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6423) |
Additional Taxonomies | 103TH0004X Psychologist, Health |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-06-14 |