| NPI | 1326105610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP4458) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MN LP4458) |
| 103TC0700X Psychologist, Clinical (Licence: MN LP4458) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP4458) | |
| 103TF0000X Psychologist, Family (Licence: MN LP4458) | |
| 103TH0100X Psychologist, Health Service (Licence: MN LP4458) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: MN LP4458) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |