| NPI | 1144399759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP3599) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: MN LP3599) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-07-23 |