| NPI | 1285706507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 3260) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP3260) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-04-08 |