NPI | 1083716013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3634) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-102673-7) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2007-07-08 |