| NPI | 1316340128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 5739) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1290) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2020-11-06 |