| NPI | 1093940355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ND 651) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP5792) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2025-02-19 |