| NPI | 1306316740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY1533) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP6673) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2022-11-22 |