| NPI | 1316744709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP7152) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MN LP7152) |
| 103TH0004X Psychologist Health (Licence: MN LP7152) | |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |