NPI | 1336508274 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5983) |
Additional Taxonomies | 103T00000X Psychologist (Licence: ND 541) |
Enumeration Date | 2016-02-21 |
Last Update Date | 2018-03-17 |