NPI | 1346229325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6234) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
170300000X Genetic Counselor, MS | |
Enumeration Date | 2006-01-10 |
Last Update Date | 2019-08-28 |