| NPI | 1326343633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6540) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MD 06007) |
| 103TH0100X Psychologist, Health Service (Licence: TN 3579) | |
| 103TC0700X Psychologist, Clinical (Licence: NC 6022) | |
| 103TC0700X Psychologist, Clinical (Licence: ND 578) | |
| 103TC0700X Psychologist, Clinical (Licence: GA PSY004475) | |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2024-11-20 |