| NPI | 1245750652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: MN LP6008) |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy (Licence: MN LP6008) |
| 103TC0700X Psychologist Clinical (Licence: MN LP6008) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: MN LP6008) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2025-11-19 |