NPI | 1053541987 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6507) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2009026801) |
Enumeration Date | 2009-07-27 |
Last Update Date | 2023-09-19 |