| NPI | 1245002179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6969) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: MN LP6969) |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2024-07-18 |