| NPI | 1386448231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 5990) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN 5990) |
| 103TH0004X Psychologist, Health (Licence: MN 5990) | |
| 103TH0100X Psychologist, Health Service (Licence: MN 5990) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MN 5990) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: MN 5990) | |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |