| NPI | 1174359251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP7044) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ND 641P) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-11-04 |