| NPI | 1346661048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5707) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 5707) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2024-07-02 |