| NPI | 1265562755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5018) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071007217) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-06-25 |