| NPI | 1245413137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP4890) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP4890) |
| 103TC1900X Psychologist, Counseling (Licence: MN LP4890) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2020-09-22 |