| NPI | 1346497898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP6350) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 9354) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2024-03-31 |