| NPI | 1376995100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6176) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2022-07-21 |