| NPI | 1285859157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP2755) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MN LP2755) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2018-09-27 |