| NPI | 1174288302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP6745) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2024-06-06 |