| NPI | 1235512351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN 6166) |
| 103T00000X Psychologist | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2019-09-30 |