| NPI | 1093300139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6657) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP6657) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |