| NPI | 1124901830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN GL0141) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NM PSY-2023-0067) |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-10-14 |